老年性戊型肝炎30例临床特点与预后分析

目的探讨老年性戊型肝炎的临床特点及预后情况。方法对温州医学院附属第一医院2004年1月至2006年1月住院的30例老年戊型肝炎临床资料及30例非老年性戊型肝炎临床资料对比进行回顾性分析。结果老年性戊肝患者与非老年性戊肝患者比较除ALT水平差异无统计学意义外，余项水平均有差异性（总胆红素、白蛋白、住院天数等），P〈0．05。结论老年性戊肝的临床特点为起病缓慢，黄疸多见，肝功能损害较严重，低蛋白血症，肝内瘀胆明显，住院时间延长，重肝发生率不高，预后较好。

Analysis of the clinical features and prognosis of senile viral hepatitis E

Objective To explore the clinical features and prognosis of senile viral hepatitis E.Methods The clinical data of 30 elderly people and 30 non-elderly people cases with hepatitis E hospitalized during January 2004 to January 2006 were analyzed retrospectively.Results The difference of ALT between two groups was insignificant,but the differences of other items between two groups were significant(total bilirubin,serum albumin,the days in hospital,etc)(P<0.05).Conclusions The clinical features of hepatisis E in the elderly are as follows slowness of developing,frequent appearing of jaundice,severe functional lesion of liver,hypoproteinemia,cholestasis in liver and longer staying in hospital.But incidence of severe hepatitis is lower and prognosis is better.